Provider Demographics
NPI:1366749491
Name:STEHLE, NANCY CAROL (MSW)
Entity type:Individual
Prefix:
First Name:NANCY
Middle Name:CAROL
Last Name:STEHLE
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:110 E SECOND ST
Mailing Address - Street 2:
Mailing Address - City:WINSLOW
Mailing Address - State:AZ
Mailing Address - Zip Code:86047-3704
Mailing Address - Country:US
Mailing Address - Phone:928-289-1222
Mailing Address - Fax:928-289-1122
Practice Address - Street 1:110 E SECOND ST
Practice Address - Street 2:
Practice Address - City:WINSLOW
Practice Address - State:AZ
Practice Address - Zip Code:86047-3704
Practice Address - Country:US
Practice Address - Phone:928-829-1222
Practice Address - Fax:928-289-1122
Is Sole Proprietor?:Yes
Enumeration Date:2011-02-25
Last Update Date:2011-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZLCSW115141041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical